Monday, March 19, 2018

Reverse total shoulder complications

„„In their review, these authors point out that complications of reverse total shoulder arthroplasty have been reported to affect 19% to 68% of patients and include acromial fracture, haematoma, infection, instability, mechanical baseplate failure,neurological injury, periprosthetic fracture and scapular notching.

They provide these examples:

Baseplate failure

Scapular notching


The authors conclude that reverse total shoulder has revolutionized the treatment of shoulder disorders that previously had no easy or acceptable solution. Patient satisfaction with RTSA can be high, and most patients experience pain relief and improved function. Although the short-term implant survival rate appears to be acceptable, the long-term results are unknown. RTSA is associated with a higher rate and more diverse spectrum of complications than is desirable. Improvements in prosthesis design, surgeon experience and clinical results will need to occur to optimize this treatment for many shoulder conditions.

Comment: While reverse total shoulder is becoming the most common type of shoulder arthroplasty, it is important to recognize the complications than can result and to consider these in light of alternative approaches to the patient's pathology.

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